Registration of participants – Szpital Powiatowy im. A. Wolańczyka Sp. z o.o. w Złotoryi

Title

Name *

Pierwszy

Ostatni

Charakter *

Institution

E-mail *

Tax Number

Conference Participation *

Privacy Act… *

Submitting this form I declare my agreement for the treatment of personal detail according to the Privacy Act for the purpose of registration. The disclosure of my personal details is optional but necessary for processing. I am informed of my right for access to my personal details for the purpose of change or correction, my wish for omission of their processing. Administrator of my personal details is the head of the Organisation Committee with headquarter in the Congress Office